Combinations and uses thereof
The present disclosure describes a pharmaceutical combination of an anti-CD19 antibody and a phosphoinositide 3-kinase inhibitor for the treatment of non-Hodgkin's lymphoma, chronic lymphocytic leukemia and/or acute lymphoblastic leukemia.
1. A method for treatment of non-Hodgkin's lymphoma in a patient in need thereof, said method comprising administering to the patient idelalisib and an antibody specific for CD19,
wherein said antibody comprises:
a variable heavy chain of the sequence
(SEQ ID NO: 10)
EVQLVESGGGLVKPGGSLKLSCAASGYTFTSYVMHWVRQAPGKGLEWIGY
INPYNDGTKYNEKFQGRVTISSDKSISTAYMELSSLRSEDTAMYYCARGT
YYYGTRVFDYWGQGTLVTVSS;
a variable light chain of the sequence
(SEQ ID NO: 11)
DIVMTQSPATLSLSPGERATLSCRSSKSLQNVNGNTYLYWFQQKPGQSPQ
LLIYRMSNLNSGVPDRFSGSGSGTEFTLTISSLEPEDFAVYYCMQHLEYP
ITFGAGTKLEIK;
a heavy chain constant domain of the sequence
(SEQ ID NO: 12)
ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGV
HTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEP
KSCDKTHTCPPCPAPELLGGPDVFLFPPKPKDTLMISRTPEVTCVVVDVS
HEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGK
EYKCKVSNKALPAPEEKTISKTKGQPREPQVYTLPPSREEMTKNQVSLTC
LVKGFYPSDIAVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRW
QQGNVFSCSVMHEALHNHYTQKSLSLSPGK;
and
a light chain constant domain of the sequence
(SEQ ID NO: 13)
RTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSG
NSQESVTEQDSKD STYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVT
KSFNRGEC.
2. The method of claim 1 , wherein said antibody specific for CD19 and idelalisib are administered separately.
3. The method of claim 1 , wherein said antibody specific for CD19 and idelalisib are administered separately physically.
4. The method of claim 1 , wherein said antibody specific for CD19 and idelalisib are administered separately in time.
5. The method of claim 1 , wherein said antibody specific for CD19 and idelalisib are administered together.
6. The method of claim 1 , wherein idelalisib is administered prior to administration of the antibody specific for CD19.
7. The method of claim 1 , wherein idelalisib is administered after administration of the antibody specific for CD19.
8. The method of claim 1 , wherein the non-Hodgkin's lymphoma is follicular lymphoma.
9. The method of claim 1 , wherein the non-Hodgkin's lymphoma is small lymphocytic lymphoma.
10. The method of claim 1 , wherein the non-Hodgkin's lymphoma is mucosa-associated lymphoid tissue lymphoma.
11. The method of claim 1 , wherein the non-Hodgkin's lymphoma is marginal zone lymphoma.
12. The method of claim 1 , wherein the non-Hodgkin's lymphoma is diffuse large B cell lymphoma.
13. The method of claim 1 , wherein the non-Hodgkin's lymphoma is Burkitt's lymphoma.
14. The method of claim 1 , wherein the non-Hodgkin's lymphoma is mantle cell lymphoma.
15. A method for treatment of chronic lymphocytic leukemia in a patient in need thereof, said method comprising administering to the patient idelalisib and an antibody specific for CD19,
wherein said antibody comprises:
a variable heavy chain of the sequence
(SEQ ID NO: 10)
EVQLVESGGGLVKPGGSLKLSCAASGYTFTSYVMHWVRQAPGKGLEWIGY
INPYNDGTKYNEKFQGRVTISSDKSISTAYMELSSLRSEDTAMYYCARGT
YYYGTRVFDYWGQGTLVTVSS;
a variable light chain of the sequence
(SEQ ID NO: 11)
DIVMTQSPATLSLSPGERATLSCRSSKSLQNVNGNTYLYWFQQKPGQSPQ
LLIYRMSNLNSGVPDRFSGSGSGTEFTLTISSLEPEDFAVYYCMQHLEYP
ITFGAGTKLEIK;
a heavy chain constant domain of the sequence
(SEQ ID NO: 12)
ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGV
HTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEP
KSCDKTHTCPPCPAPELLGGPDVFLFPPKPKDTLMISRTPEVTCVVVDVS
HEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGK
EYKCKVSNKALPAPEEKTISKTKGQPREPQVYTLPPSREEMTKNQVSLTC
LVKGFYPSDIAVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRW
QQGNVFSCSVMHEALHNHYTQKSLSLSPGK;
and
a light chain constant domain of the sequence
(SEQ ID NO: 13)
RTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSG
NSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTK
SFNRGEC.
16. The method of claim 15 , wherein said antibody specific for CD19 and idelalisib are administered separately.
17. The method of claim 15 , wherein said antibody specific for CD19 and idelalisib are administered separately physically.
18. The method of claim 15 , wherein said antibody specific for CD19 and idelalisib are administered separately in time.
19. The method of claim 15 , wherein said antibody specific for CD19 and idelalisib are administered together.
20. The method of claim 15 , wherein idelalisib is administered prior to administration of the antibody specific for CD19.
21. The method of claim 15 , wherein idelalisib is administered after administration of the antibody specific for CD19.
22. A method for treatment of acute lymphoblastic leukemia in a patient in need thereof, said method comprising administering to the patient idelalisib and an antibody specific for CD19,
wherein said antibody comprises:
a variable heavy chain of the sequence
(SEQ ID NO: 10)
EVQLVESGGGLVKPGGSLKLSCAASGYTFTSYVMHWVRQAPGKGLEWIGY
INPYNDGTKYNEKFQGRVTISSDKSISTAYMELSSLRSEDTAMYYCARGT
YYYGTRVFDYWGQGTLVTVSS;
a variable light chain of the sequence
(SEQ ID NO: 11)
DIVMTQSPATLSLSPGERATLSCRSSKSLQNVNGNTYLYWFQQKPGQSPQ
LLIYRMSNLNSGVPDRFSGSGSGTEFTLTISSLEPEDFAVYYCMQHLEYP
ITFGAGTKLEIK;
a heavy chain constant domain of the sequence
(SEQ ID NO: 12)
ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGV
HTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEP
KSCDKTHTCPPCPAPELLGGPDVFLFPPKPKDTLMISRTPEVTCVVVDVS
HEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGK
EYKCKVSNKALPAPEEKTISKTKGQPREPQVYTLPPSREEMTKNQVSLTC
LVKGFYPSDIAVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRW
QQGNVFSCSVMHEALHNHYTQKSLSLSPGK;
and
a light chain constant domain of the sequence
(SEQ ID NO: 13)
RTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSG
NSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTK
SFNRGEC.
23. The method of claim 22 , wherein said antibody specific for CD19 and idelalisib are administered separately.
24. The method of claim 22 , wherein said antibody specific for CD19 and idelalisib are administered separately physically.
25. The method of claim 22 , wherein said antibody specific for CD19 and idelalisib are administered separately in time.
26. The method of claim 22 , wherein said antibody specific for CD19 and idelalisib are administered together.
27. The method of claim 22 , wherein idelalisib is administered prior to administration of the antibody specific for CD19.
28. The method of claim 22 , wherein idelalisib is administered after administration of the antibody specific for CD19.